BILL ANALYSIS                                                                                                                                                                                                    





                                                                  AB 730

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          GOVERNOR'S VETO
          AB 730 (De La Torre)
          As Amended August 18, 2009
          2/3 vote

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          |ASSEMBLY:  |53-23|(May 28, 2009)  |SENATE: |22-16|(September 3,  |
          |           |     |                |        |     |2009)          |
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          |ASSEMBLY:  |51-25|(September 9,   |        |     |               |
          |           |     |2009)           |        |     |               |
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          Original Committee Reference:   HEALTH  

           SUMMARY  :  Increases the maximum civil penalty for health  
          insurance post-claims underwriting from $118 per violation to  
          $5,000 per violation for insurers under the jurisdiction of the  
          Commissioner of the California Department of Insurance (CDI).   
          Specifically,  this bill  :  

          1)Increases the maximum civil penalty for each act of  
            post-claims underwriting, as prohibited in the Insurance Code,  
            from $118 to a maximum of $5,000 for each act, and up to  
            $10,000 for each act or violation where the health insurer  
            knew or had reason to know that the act was unlawful.

          2)Requires that the first $118 of each penalty collected for  
            post-claims underwriting violations be deposited in the  
            General Fund and the balance of any penalty revenue be  
            deposited in the Major Risk Medical Insurance Fund to be used,  
            upon appropriation by the Legislature, for the Major Risk  
            Medical Insurance Program (MRMIP).

          3)Requires civil penalties and disciplinary actions imposed  
            against insurers for specified violations of the Insurance  
            Code, including post-claims underwriting violations, to be  
            determined at a hearing conducted in accordance with the  










                                                                  AB 730

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            Administrative Procedures Act.

           The Senate amendments  : 

          1)Make the increased penalties in this bill a civil penalty in  
            lieu of the $118 civil penalty for violations of the Insurance  
            Code.

          2)Require that the first $118 of each penalty collected for  
            post-claims underwriting violations be deposited in the  
            General Fund and the balance of any penalty revenue be  
            deposited in the Major Risk Medical Insurance Fund to be used  
            upon appropriation by the Legislature for MRMIP.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version passed by the Senate.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, costs to CDI to continue to assess penalties for  
          post-claims underwriting in accordance with this bill would be  
          minor and absorbable.  To the extent that insurers practice  
          post-claims underwriting and CDI collects penalties, there would  
          be unknown, increased revenue for MRMIP. 
           



          GOVERNOR'S VETO MESSAGE  :

          "This bill attempts to align enforcement provisions between the  
          Department of Managed Health Care and the California Department  
          of Insurance.  However, it does not create this much-needed  
          consistency, but instead continues to subject regulated entities  
          to differing standards.

          "In addition, while I believe the Managed Risk Medical Insurance  
          Program to be a possible and appropriate location for some of  
          the penalties associated with these fines, I cannot support  
          provisions that further limit revenue to the General Fund and  
          decrease the state's ability to direct resources to its highest  
          priorities."










                                                                  AB 730

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           Analysis Prepared by:     Marjorie Swartz / HEALTH / (916)  
          319-2097 



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